Individual
JULIE WOOD-MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12728 19TH AVE. SE, SUITE 200, EVERETT, WA 98208-6647
(425) 252-1116
(425) 252-1118
Mailing address
12728 19TH AVE SE, SUITE 200, EVERETT, WA 98208-6647
(425) 252-1116
(425) 252-1118
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00043863
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00043863
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190786
LABOR AND INDUSTRY
WA
05
—
8409898
—
WA
01
—
MD00043863
STATE LICENSE NUMBER
WA
01
—
P00190023
RAILROAD MEDICARE
WA
Enumeration date
05/27/2006
Last updated
04/17/2012
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